Mauriohooho Maiea, Tuhoe Jason, Harwood Matire, Rahiri Jamie-Lee
Otago Medical School, University of Otago, Wellington, New Zealand.
Te Piringa Kōtuku, Tuhauora Medical Associates Ltd, Auckland, New Zealand.
ANZ J Surg. 2024 Dec;94(12):2111-2118. doi: 10.1111/ans.19228. Epub 2024 Sep 13.
The Royal Australasian College of Surgeons (RACS) Te Rautaki Māori cites the need for more research dedicated to health equity in surgery for Māori. However, the gaps in research for Māori in surgery have not yet been highlighted. This review is the first in a series of reviews named Te Ara Pokanga that seeks to identify these gaps over all nine surgical specialties. The aim of this study was to assess neurosurgical disease incidence and perioperative outcomes for Māori at any point from referral through to the postoperative period.
A systematic review of Māori neurosurgical disease and care for Māori in NZ was performed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement assisted study selection and reporting. Kaupapa Māori (Māori-centred) research methodology and the Māori Framework were utilized to evaluate Māori research responsiveness.
Nine studies were included in this review. All studies were retrospective cohort studies and only two studies had at least one Māori clinical or academic expert named on their research team. Therefore, only one study was deemed responsive to Māori. Studies assessing long-term outcomes from the management of neurosurgical disease for Māori and patient and whānau experiences of neurosurgical care are lacking.
This study indicates the limited scope of research conducted for Māori in neurosurgery. The broader clinical implications of this review highlight the need for good quality research to investigate access to and long-term outcomes from the management of neurosurgical disease for Māori.
澳大利亚皇家外科学院（RACS）毛利人事务委员会指出，需要开展更多专门针对毛利人手术健康公平性的研究。然而，毛利人在外科手术方面的研究空白尚未得到凸显。本综述是名为“Te Ara Pokanga”的系列综述中的第一篇，旨在找出所有九个外科专业领域的这些空白。本研究的目的是评估毛利人从转诊到术后阶段任何时间点的神经外科疾病发病率和围手术期结局。
对新西兰毛利人的神经外科疾病及护理进行了系统综述。系统综述和荟萃分析的首选报告项目声明有助于研究的选择和报告。采用以毛利人为中心的研究方法和毛利人框架来评估对毛利人研究的响应性。
本综述纳入了九项研究。所有研究均为回顾性队列研究，只有两项研究的研究团队中有至少一位毛利临床或学术专家。因此，只有一项研究被认为对毛利人有响应性。缺乏评估毛利人神经外科疾病管理的长期结局以及患者和家属神经外科护理体验的研究。
本研究表明针对毛利人的神经外科研究范围有限。本综述更广泛的临床意义凸显了开展高质量研究以调查毛利人获得神经外科疾病管理的机会和长期结局的必要性。
